J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 3, Number 4, August 2011, pages 177-182

Children and Adolescents as Patients in General Practice - The Reasons for Encounter

**Table 1.** Mean Number of Reasons for Encounter (RFE) per Patient, Patient Distribution (pd) on Different Age Groups in the SESAM 2 Study (as Childrens Rate of the Total Patient sample) Compared With Transition Project and With Frequency in German Population (FiP)
	SESAM	Transition Project	SESAM	SESAM	SESAM
* data source: https://www-genesis.destatis.de/genesis/online (accessed march 23rd 2010).
Age (Years)	pd (%)	pd (%)	FiP* (%)	pd / FiP	RFE / patient
≤ 4	1.3	5.8	4.7	0.28	1.42
5 to 9	1.2	6.7	4.9	0.25	1.65
10 to 14	2.0	6.3	5.7	0.35	1.39
15 to 19	4.6	5.6	5.6	0.82	1.50
Sum	9.1	24.4	20.9	-	-

Table 1. Mean Number of Reasons for Encounter (RFE) per Patient, Patient Distribution (pd) on Different Age Groups in the SESAM 2 Study (as Childrens Rate of the Total Patient sample) Compared With Transition Project and With Frequency in German Population (FiP)

SESAM

Transition Project

SESAM

* data source: https://www-genesis.destatis.de/genesis/online (accessed march 23rd 2010).

Age (Years)

pd (%)

FiP* (%)

pd / FiP

RFE / patient

≤ 4

1.3

5.8

4.7

0.28

1.42

5 to 9

1.2

6.7

4.9

0.25

1.65

10 to 14

2.0

6.3

5.7

0.35

1.39

15 to 19

4.6

5.6

0.82

1.50

Sum

9.1

24.4

20.9

**Table 2.** The 25 Most Common Reasons for Encounter (RFE) and Its Percentage in Different Age Groups (Data From the SESAM 2 Study)
ICPC	RFE	N_RFE	% * in different age groups
* percentage refers to all reasons for encounter per age group.
R05	cough	112	10.69	17.05	6.83	7.84
A03	fever	102	10.06	11.93	8.84	7.03
A44	preventive immunization / injection	82	13.21	3.41	10.84	4.58
R21	throat symptom / complaint	73	2.52	5.11	6.83	7.03
R07	sneezing / nasal congestion	67	3.77	11.36	5.62	4.41
R31	respiratory: medical examination partial	38	7.55	3.41	4.42	1.47
A30	screening: medical examination complete	28	6.92	0.57	0.80	2.29
D01	abdominal pain / cramps general	27	0.63	1.14	2.01	3.10
D10	vomiting	27	1.89	3.98	2.41	1.80
D11	diarrhea	27	1.89	2.27	2.81	2.12
H01	ear pain / earache	20	0.63	3.41	1.20	1.63
N01	headache	20	0.63	-	0.80	2.78
R29	respiratory symptom / complaint other	20	3.14	2.27	1.61	1.14
D09	nausea	17	-	0.57	0.80	2.29
A04	weakness / tiredness	16	-	1.70	1.2	1.63
S56	dressing / compression / tamponade	16	1.26	1.70	2.01	0.98
A80	trauma / injury not other specified	14	-	-	0.40	2.12
H31	ear: medical examination partial	13	2.52	2.84	1.20	0.16
S06	rash localized	13	2.52	0.57	2.01	0.49
R22	tonsillar symptoms	12	-	-	1.61	1.31
S02	pruritus	9	1.26	1.70	0.80	0.33
D06	abdominal pain localized	6	-	0.57	1.20	0.33
S07	rash generalized	4	0.63	1.70	-	-
Sum of RFE		763	71.72	77.26	66.25	56.86

Table 2. The 25 Most Common Reasons for Encounter (RFE) and Its Percentage in Different Age Groups (Data From the SESAM 2 Study)

ICPC

RFE

N_RFE

% * in different age groups

0-4
(n = 112)

5-9
(n = 107)

10-14
(n = 179)

15-19
(n = 407)

* percentage refers to all reasons for encounter per age group.

R05

cough

112

10.69

17.05

6.83

7.84

A03

fever

102

10.06

11.93

8.84

7.03

A44

preventive immunization / injection

13.21

3.41

10.84

4.58

R21

throat symptom / complaint

2.52

5.11

6.83

7.03

R07

sneezing / nasal congestion

3.77

11.36

5.62

4.41

R31

respiratory: medical examination partial

7.55

3.41

4.42

1.47

A30

screening: medical examination complete

6.92

0.57

0.80

2.29

D01

abdominal pain / cramps general

0.63

1.14

2.01

3.10

D10

vomiting

1.89

3.98

2.41

1.80

D11

diarrhea

1.89

2.27

2.81

2.12

H01

ear pain / earache

0.63

3.41

1.20

1.63

N01

headache

0.63

0.80

2.78

R29

respiratory symptom / complaint other

3.14

2.27

1.61

1.14

D09

nausea

0.57

0.80

2.29

A04

weakness / tiredness

1.70

1.2

1.63

S56

dressing / compression / tamponade

1.26

1.70

2.01

0.98

A80

trauma / injury not other specified

0.40

2.12

H31

ear: medical examination partial

2.52

2.84

1.20

0.16

S06

rash localized

2.52

0.57

2.01

0.49

R22

tonsillar symptoms

1.61

1.31

S02

pruritus

1.26

1.70

0.80

0.33

D06

abdominal pain localized

0.57

1.20

0.33

S07

rash generalized

0.63

1.70

Sum of RFE

763

71.72

77.26

66.25

56.86

**Table 3.** Minimum Number of Different Reasons for Encounter (RFE) Needed to Manage a Given Percentage of Consultation in the Age Groups (Comparing SESAM 2 Study Versus Transition Project)
Age (years)	Study	Sum of all RFEs	n
0-4	SESAM	159	5	19	42	50	54	58
	TP	25 507	11	22	115	182	243	476
5-9	SESAM	176	5	16	39	48	53	57
	TP	19 953	16	29	140	210	283	502
10-14	SESAM	249	9	29	60	73	79	85
	TP	14 957	23	73	159	234	302	493
15-19	SESAM	612	14	44	90	121	137	151
	TP	21 333	33	95	201	283	366	630

Table 3. Minimum Number of Different Reasons for Encounter (RFE) Needed to Manage a Given Percentage of Consultation in the Age Groups (Comparing SESAM 2 Study Versus Transition Project)

Age (years)

Study

Sum of all RFEs

50%

75%

90%

95%

97.5%

≈100%

0-4

SESAM

159

25 507

115

182

243

476

5-9

SESAM

176

19 953

140

210

283

502

10-14

SESAM

249

14 957

159

234

302

493

15-19

SESAM

612

121

137

151

21 333

201

283

366

630

**Table 4.** Number of Regularly (≥ 1 : 3000) Occurring Reasons for Encounter (roRFE) in Different Studies and Its Distribution by Age Group (Comparing SESAM 2 Study Versus Transition Project) Related to the Sum of All Encounters
	Age (years)
Study	SESAM	TP	SESAM	TP	SESAM	TP	SESAM	TP
n (sum of all RFEs)	159	25 507	176	19 952	249	14 956	612	21 332
n (roRFE)	15	24	16	26	26	18	59	24

Table 4. Number of Regularly (≥ 1 : 3000) Occurring Reasons for Encounter (roRFE) in Different Studies and Its Distribution by Age Group (Comparing SESAM 2 Study Versus Transition Project) Related to the Sum of All Encounters

Age (years)

0-4

5-9

10-14

15-19

Study

SESAM

n (sum of all RFEs)

159

25 507

176

19 952

249

14 956

612

21 332

n (roRFE)